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The outcome of stroke: A six month follow-up study
نتائج السكتة الدماغية: دراسة متابعة لمدة ستة أشهر

Author: Kameran Hassan Ismail
Journal: Zanco Journal of Medical Sciences مجلة زانكو للعلوم الطبية ISSN: 19955588/19955596 Year: 2018 Volume: 22 Issue: 1 Pages: 82-88
Publisher: Hawler Medical Univeristy جامعة هولير الطبية

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Abstract

Background and objective: Stroke is an increasing problem in developing countries and is the principal cause of disability and dependency in the western world. This study aimed to find out the one- and six-month case fatality, dependency and recurrence rates of stroke in Erbil teaching hospitals. Methods: This hospital-based prospective study included 293 stroke patients hospitalized in Erbil teaching hospitals from January 1st, 2015 through December 31st, 2015. Stroke was diagnosed by a consultant internist or neurologist and confirmed by brain CT-scan and/or MRI. Patients were followed-up for six months, then one- and six-month outcomes were measured including case-fatality, dependency and recurrences rates.Results: The one and six month case fatality rates were 28.3% and 37.5%, respectively. The rates in females (33.3%, 42.6%, respectively) were higher than that in males (23.7%, 32.9%, respectively), but there was no significant association between case-fatality rate and gender. A total of 74.3% and 45.4% of patients at one- and six-month were functionally dependent. The majority (88.9%) of diabetic patients were functionally dependent. Also, the one and six month recurrence rates of stroke patients were 15.7% and 23.2%, respectively. For both one and six month post stroke more recurrence occurred from ischemic (16.2%, 14.3%, respectively) than from hemorrhagic (24.5%, 19.5%, respectively) strokes, but there was no significant association between the recurrence and stroke subtype (P = 0.691, P = 0.367, respectively).Conclusion: The reported outcomes are relatively comparable to that reported in other developing countries, although it is still more than the rates of developed countries. Outcome measures can help to give information and develop guidelines for clinical practice and research.


Article
Surgically Treated Ankle Fracture, Danis – Weber Type C: A Short Term Functional Outcome

Author: Wissam Khaidhyer Baidi, Ali Bakir Al-Hilli
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2016 Volume: 15 Issue: 4 Pages: 397-405
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND: Fractures of the ankle are fairly common injuries. Large comparative studies that have evaluated long-term functional outcome of operatively treated ankle fractures are lacking. OBJECTIVE:This study is performed to analyse the functional outcome of gender, weight and age of patient with Weber C in the early follow up time.PATIENTS AND METHODS:This retrospective review of 18 patients (13 males and 5 females), age ranges between 19-78 years (average 38.9 years) with Weber type C ankle injury that were treated by open reduction and internal fixation in Medical city Complex from October 2013 to February 2014. All patients were followed up for a mean time of 15.5 months (12- 30 months) after index surgery. The body mass index (BMI) of all patients ranges from 19.9-36.7 (mean 27.4), of these patients, 6 (4 females and 2 males) had BMI more than 30 (mean 33.5), the other 12 patients had BMI of less than 30 (mean23.4). Outcome measurements were determined using the Olerud and Molander scoring system and Linear Analogue Scale for all patients. RESULTS: According to the (OMAS) scoring system, there were 12 patients had excellent outcome, 3 had good, 2 had fair and one patient had poor results.14 patients of less than 50 years their average OMAS score was 82.8, while those of more than 50 years 57.5 (P value =0.001); LAS score for patients less than 50 years average score was 8.07 while those more than 50 years was 5.5 (P value =0.0007).Male gender in this study was 13 patients, average OMAS score was 91.5, and average LAS was 9, female patients were average scored 40 and 3.6 by OMAS and LAS respectively. (P value=0.0022).Regarding the BMI, patients of less than 30 had average OMAS score 85 and LAS score 8.25. On the other hand, patients who had more than 30 BMI had average OMAS 61.6, and average LAS 6. (P value =0.0001).CONCLUSION: The early follow up time shows better results in male gender, younger age group, and non-obese patients. A long follow up time is required for this type of injury in order to base the evidence of these parameters and to evaluate the functional outcome.


Article

Journal: The Medical Journal of Tikrit مجلة تكريت الطبية ISSN: 16831813 Year: 2011 Issue: 172 Pages: 78-99
Publisher: Tikrit University جامعة تكريت

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Abstract

The aim of the study is to determine the outcome & factors that favorably or unfavorably affects the outcome in patients with severe closed, not penetrating, head injury. All patients of severe closed head injury between June to December of 2010 were admitted to the neurosurgical ICU in Al-Shaek Zaed hospital & Tikreet teaching hospital. Various factors were analyzed to assess the effect on outcome. Outcome was assessed on the basis of Glasgow outcome scale at 6 months following injury. The patients were categorized on the base of Age, gender, GCS, mechanism or cause of head injury, pathology on CT scan of brain, management whether surgical or medical & outcome. The factors that have been found to affect the outcome favorably were the age, the GCS, the associated systemic injury, the type of pathology. Conclusion: Patients who have an old age, low GCS, multiple head & extra-cranial injury, diffuse axonal injury, acute SDH after severe head injury have high mortality.

والهدف من هذه الدراسة هو تحديد نتائج والعوامل التي تؤثر سلبيا أو إيجابيا على النتيجة في المرضى الذين يعانون من حاد مغلقة، وليس اختراق اصابة في الرأس،. تم قبول جميع المرضى الذين يعانون من اصابة حادة في الرأس المغلقة بين يونيو إلى ديسمبر 2010 إلى وحدة العناية المركزة في مستشفى الجراحة العصبية Zaed آل Shaek وTikreet المستشفى التعليمي. وقد تم تحليل مختلف العوامل لتقييم تأثير على النتيجة. وجرى تقييم نتائج على أساس جدول نتيجة غلاسكو في 6 أشهر بعد الاصابة. وتم تصنيف المرضى على قاعدة من الجنسين، والعمر، GCS، آلية أو سبب اصابة في الرأس، علم الأمراض في الاشعة المقطعية للدماغ، وإدارة سواء الجراحية أو الطبية والنتيجة. العوامل التي تم العثور عليها في التأثير على نتيجة كانت إيجابية في العمر، والنظام العالمي للمراقبة، ويرتبط بها من ضرر النظامية، ونوع من الأمراض. والخلاصة: المرضى الذين لديهم سن الشيخوخة، GCS منخفض، رئيس متعددة وإصابة خارج الجمجمة، والإصابة محور عصبي منتشر، حاد SDH بعد اصابة حادة في الرأس لديها ارتفاع معدل الوفيات.

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